MARK KIM


Address: 1600 W Eau Gallie Blvd, Suite 201u, Melbourne, FL 32935-4149
Phone: 6264308472

MARK KIM (NPI# 1649580002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649580002
Entity Type Individual
Full Name MARK KIM
Credential LMHC
Practice Address 1600 W Eau Gallie Blvd
Suite 201u
Melbourne
FL 32935-4149
Mailing Address 1654 Ficus Point Dr
Melbourne
FL 32940-1530
Practice Telephone 6264308472
Mailing Telephone 6264308472
Enumeration Date 2010-10-19
Last Update Date 2015-09-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH 13682 FL Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
7246634 NY Behavioral Health & Social Service Providers

Other Providers MARK KIM

NPI Name Taxonomy Address Enumeration
1881125672 Mark Honest Kim Student in an Organized Health Care Education/Training Program 1468 Madison Ave Fl 8, New York, NY 10029 2017-03-23
1578848370 Mark Jin Kim Pharmacist 1801 South St., Lafayette, IN 47905 2011-10-13
1043306970 Mark Kim Dentist 24422 Hawthorne Blvd, Suite A, Torrance, CA 90505-6581 2006-10-05
1053403634 Mark S. Kim Family Medicine 1803 S Meridian, Puyallup, WA 98371 2006-09-29
1578597282 Mark M Kim Internal Medicine 7927 Ritchie Hwy., Glen Burnie, MD 21061 2006-07-10
1487633228 Mark Y Kim Internal Medicine 3900 N Buffalo Road, Orchard Park, NY 14127-1842 2006-01-11
1083136279 Mark Joong-pyoung Kim Physical Therapist 200 E Del Mar Blvd Ste 112, Pasadena, CA 91105-2552 2017-07-10
1003198458 Mark Y Kim Pharmacist 510 N Alamo Rd, Alamo, TX 78516-2306 2011-09-12
1073743621 Mark Sung-kyoung Kim Internal Medicine 11539 Hawthorne Blvd, 6e, Hawthorne, CA 90250-2381 2009-07-16
1548402894 Mark Sejun Kim Anesthesiology 111 S 11th St, Suite 8490, Philadelphia, PA 19107-4824 2009-04-01

Office Location

Street Address 1600 W EAU GALLIE BLVD
SUITE 201U
City MELBOURNE
State FL
Zip Code 32935-4149

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215988993 Earl Ledford Social Worker 1600 W Eau Gallie Blvd, Suite 201u, Melbourne, FL 32935-4149 2006-05-15
1487299665 Charles Ray Beckelhimer Jr. Counselor 1600 W Eau Gallie Blvd, Melbourne, FL 32935-4106 2019-11-12
1720585532 Sunnyskies Support Service In Home Supportive Care 1600 W Eau Gallie Blvd, Melbourne, FL 32935-4149 2018-04-09
1528565546 Veronica Conchester Hodges-francis In Home Supportive Care 1600 W Eau Gallie Blvd, Melbourne, FL 32935-4149 2018-04-06
1568996916 Pamela Albert Counselor 1600 W Eau Gallie Blvd, Suite 201 N, Melbourne, FL 32935-4149 2017-04-12
1376098756 Dusty Lande Counselor 1600 W Eau Gallie Blvd, Melbourne, FL 32935-4149 2016-08-16
1558724708 April Mchale Counselor 1600 W Eau Gallie Blvd, Ste 201-u, Melbourne, FL 32935-4149 2016-04-04
1215306527 Amanda Campbell Chiropractor 1600 W Eau Gallie Blvd, Suite 104, Melbourne, FL 32935-4149 2015-09-16
1366835795 Melbourne Medical LLC Clinic/Center 1600 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32935-4149 2015-03-10
1821400177 Rene Ledford Social Worker 1600 W Eau Gallie Blvd, Suite 201u, Melbourne, FL 32935-4149 2014-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407412018 Aleecia Estime Nurse Practitioner 401 N Wickham Rd Ste S, Melbourne, FL 32935 2019-05-20
1669948261 Lisa Marie Sarkees Social Worker 1503 Spring Drive, Melbourne, FL 32935 2018-10-22
1407355399 Eugene Slaughter Case Manager/Care Coordinator 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 2018-02-06
1588173173 Gregory M Mcdermand Respiratory Therapist, Certified 2745 Revolution St, Unit 101, Melbourne, FL 32935 2017-09-26
1386173649 M Shami Nurse Practitioner 401 N Wickham Rd. Suite S, Melbourne, FL 32935 2017-06-08
1588102297 Chiro Choice A Limited Liability Company Clinic/Center 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 2017-02-02
1124574835 A Loving Touch Private Home Care Home Health 1595 Palmwood Drive, Melbourne, FL 32935 2016-09-01
1538616099 Pedro Triana Villamil Specialist/Technologist, Other 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 2016-09-01
1528424132 Lisa Forsythe Acupuncturist 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 2016-01-12
1528432028 Harbor City Pharmacy Inc Pharmacy 503 Harbor City Blvd., Melbourne, FL 32935 2015-11-20
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003415944 Danielle Neal Counselor 4173 Palladian Way, Melbourne, FL 32904-1210 2020-10-21
1063022317 21 Vets Incorporated Counselor 4908 Fauna Dr, Melbourne, FL 32934-7847 2020-08-03
1528689122 Ichoose Change, LLC Counselor 1600 Malabar Rd, J-119, Melbourne, FL 32935-1408 2020-05-05
1588283683 Benah Counseling LLC Counselor 3270 Suntree Blvd Ste 155-157, Melbourne, FL 32940-7530 2020-04-09
1033755376 Tiffany Brown Counselor 8080 Kingswood Way, Melbourne, FL 32940-2191 2019-11-21
1245893403 Adrianne Vyasulu Leonhardt Counselor 3230 Arden Cir, Melbourne, FL 32934-8772 2019-04-15
1801356480 Neeley Renee Hughey Counselor 3270 Suntree Blvd Ste 121, Melbourne, FL 32940-7540 2019-03-21
1487135596 Dyeanna Fuller Counselor 1600 W Eau Gallie Blvd Ste 201f, Melbourne, FL 32935-4149 2018-08-27
1811489925 Wendy Leonard Hixon Counselor 1900 S Harbor City Blvd Ste 211, Melbourne, FL 32901-4760 2018-06-04
1639682297 Senior Counseling Group, LLC Counselor 3270 Suntree Blvd Ste 2217, Melbourne, FL 32940-7558 2017-11-06
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32935

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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